Urgent Care physicians are categorised as trainees, advanced trainees or fellows.
The criteria and prescribed training are as follows:
2012 Criteria
These are the criteria for students who begin training in 2012. Trainees who commenced before 2012 may also be able to attain Fellowship using these criteria, provided they obtain Board of Censors approval.
| Category |
Criteria |
Prescribed training |
| A) Trainee (1) |
1. Registration with the MCNZ or other CUCP-approved registration body.
2. Current annual practising certificate.
3. Two years of supervised postgraduate general medical training, including one pre-registration intern year and one year including posts in general medicine and/or surgery in full time supervised positions as approved by CUCP. |
1. Complete accreditation process
2. UCPEX
3. UCC 2012(4)
4. University papers (5)
5. Four years / 3,000 hours of Urgent Care Clinic or Emergency Department experience. (6) |
| B) Advanced trainee (2) |
1. Trainee criteria as above
2. UCC plus UCPEX.
3. 1,000 hours of Urgent Care Clinic or Emergency Department experience.(6) |
1. University papers (5)
2. Complete four years / 3,000 hours of Urgent Care Clinic or Emergency Department experience. (6) |
| C) Fellow (3) |
1. Trainee / advanced trainee criteria as above.
2. Four years / 3,000 hours of Urgent Care Clinic or Emergency Department experience.(6)
3. University papers.(5)
4. Exit interview.
5. Education Committee confirms accreditation complete. |
Begin reaccreditation |
Notes:
1) Trainees are recommended to work with another doctor whose vocational standing is at least advanced trainee or equivalent in the field in which the experience is being obtained, or who is otherwise approved by CUCP, for example, an CUCP graduate or advanced trainee in respect of Urgent Care Clinic experience, a FACEM or senior registrar in respect of emergency department experience, or a vocationally registered general practitioner or registrar with Primex in the case of general practice experience.
Time spent working alone without this level of direct supervision will not be recognised for accreditation purposes.
2) Advanced trainees may work alone, subject to MCNZ supervision criteria.
3) Fellows may work independently.
4) Urgent Care Course, 2012
The Board of Censors may accept trainees who have completed the UCC prior to 2012 (then called the AMCC), with Board of Censors-prescribed additional learning and assessment ('catchup module') to give 2012 UCC equivalence.
5) Presently the required papers are the University of Auckland's postgraduate Diploma papers in
Paediatrics,
Evidence for Best Practice, and one paper of the trainee's choice (see below).
6) Four years’ experience
3,000 hours experience is required, with a minimum of 400 hours in any one year.
A year can be any 12-month period nominated by the trainee.
General practice experience or subspecialty ED experience (such as paediatric Emergency Department or other CUCP-approved) to a maximum of 500 hours is acceptable.
Experience is to be supervised per CUCP Education Committee standards.
A log of hours submitted as part of the Urgent Care training programme is accepted as proof of hours.
Verifiable overseas experience to a maximum of 1,000 hours is accepted.
Up to 1,000 hours of New Zealand Emergency Department experience worked while a member of the Emergency Medicine or Rural Hospital Medicine training programmes, or while working with direct on-site supervision from a FACEM is accepted.
A minimum of 1,500 hours must be worked in an Urgent Care facility or Emergency Department while a member of the CUCP Urgent Care training programme.
University Optional Paper
The optional paper is in addition to the two papers in note 5 above, give trainees an opportunity to study an area of interest in more depth. Topics are relevant to Urgent Care, and not covered elsewhere in the training programme.
The CUCP may accept other papers, proposed or prior, that meet the above intent. Please contact the College if you wish to have an alternative paper considered in lieu of the optional paper.
Papers accepted include the following:
a) Distance learning options
POPLPRAC 713 Health and Lifestyle
Important GP topic, some Urgent Care relevance. Recommendation of Prof Goodyear-Smith.
POPLPRAC 743 Upper Limb and Spine
Sports medicine paper
POPLPRAC 744 Lower Limb and Physiotherapy
Sports medicine paper
POPLHLTH 701 Research Methods in Health
Suitable for those interested in Research, particularly with a view to a later Postgraduate Diploma, Master's and Doctorate.
b) Taught on-site only (University of Auckland, Tamaki Campus)
POPLPRAC 702 Primary Mental Health
Community psychiatry; includes communication.
POPLHLTH 721 Health Management
Unit-level management. Suitable for those interested in facility management.
POPLHLTH 722 Health Care Organisation
Macro level health systems.
According to Prof Goodyear-Smith this is an excellent but difficult paper, requires good essay-writing skills, and likely to be of interest and use to only a minority of Urgent Care trainees.
Certificate vs 'Certificate of Proficiency'
To clarify, a Certificate comprises four papers done as part of a University approved Certificate course.
A Certificate of Proficiency certifies proficiency in one paper only.
Three papers are needed for Fellowship.
Four papers will qualify a student for a Certificate.
Students may therefore wish to consider doing an extra paper and getting a Certificate.
This gives the option for the academically inclined of going on to a Postgraduate Diploma, Masters and Doctorate, and possibly a teaching and / or research position.
Generally, CUCP and Urgent Care would benefit if least some students do this, to bolster the Urgent Care presence in the University and support Urgent Care teaching and research.
Students who only want to do what's needed for Fellowship and no more should do the three papers individually as a 'Certificate of Proficiency.'
Those who want a Certificate should enrol in a Certificate course.
The University may allow a student to credit one or two papers done as a Certificate of Proficiency towards a Certificate.
The student must apply to the University to do this.
The University may give preference to students enrolling for a paper as part of a Certificate over those enrolling 'just' for a COP.
CUCP advises all trainees to apply early.
University of Auckland Enrollment
The following information is provided by the University
Your University of Auckland Programme Options
Before enrolling in any course at the University of Auckland you must first apply for a programme and there are three possible programmes within which you can take the above courses.
To apply for any of the following programmes, please go to
www.auckland.ac.nz and click on APPLY NOW.
If you have difficulty with applying online, please call the Student Help Line 0800 61 62 63 for assistance.
1. Apply for admission to a Certificate of Proficiency (COPUA for Faculty of Medical and Health Sciences) programme and take the three courses as individual courses.
You will receive a certificate for each course you pass.
2. Apply for admission to the general PG Certificate in Medical Science or a PG Certificate in Health Sciences.
These 60 point postgraduate programmes comprise four 15 point courses which can be any of the courses on the list above. By taking the three courses for CUPC (AMPA) and then a further course you complete an academic qualification, and can progress to a PG Diploma (with another 60 points) and potentially a masters in future.
3. Apply for admission to the Postgraduate Diploma in Health Sciences in the specialisation Community Emergency Care which is not a requirement of CUPC (AMPA) but gives you a postgraduate qualification as well in this subject area.
This option can also lead to a masters and the programme can be taken over 2-4 years as a part-time student with 1-2 courses per semester.
Core courses for the PG Diploma specialisation in Community Emergency Care:
POPLHLTH 709 Evidence for Best Practice (15 points)
POPLPRAC 739 Urgent Primary Medical Care (15 points)
POPLPRAC 740 Urgent Primary Surgical Care (15 points)
POPLPRAC 763 A&B Urgent Primary Orthopaedic Care (30 points)
PAEDS 714 Emergency Paediatrics (15 points)
Plus 30 points (two courses) from
POPLHLTH 701, 721, 722, 737, 738, POPLPRAC 701, 702,
714, 743, 744.
Courses in bold are those on the list for your CUPC (AMPA) training programme.
See
www.fmhs.auckland.ac.nz/cec for more information on this programme.
Enrolment in the courses
After you have been admitted and accept a place in your programme, you enrol in the course/s.
POPLHLTH 709 - Evidence for best practice taught only in semester 1
PAEDS 714 - Emergency Paediatrics - taught in semester 2
Please contact Dale-Cormack Pearson dc.pearson@auckland.ac.nz for assistance with enrolment in these courses.
Each course that you have to take is worth 15 points and for 2012 fees the cost is $1030 NZ per course.
Pre-2012 criteria
These criteria are for trainees who commenced training prior to 2012. They may also be able to attain Fellowship using the 2012 criteria, provided they obtain Board of Censors approval.
| Category |
Criteria |
Prescribed training |
| A) Trainee (1) |
1. Registration with the MCNZ or other CUCP-approved registration body.
2. Current annual practising certificate.
3. Two years of supervised postgraduate general medical training, including one pre-registration intern year and one year including posts in general medicine and/or surgery in full time supervised positions as approved by CUCP. |
1. Complete accreditation process
2. BoC approved primary (4)
3. Four years / 3000 hours of Urgent Care Clinic or Emergency Department experience. (5)
4. PG Diploma in Community Emergency Medicine. |
| B) Advanced trainee (2) |
1. Trainee criteria as above
2. BoC approved primary.
3. 1000 hours of Urgent Care Clinic or Emergency Department experience. |
1. Sit part II examination (PGDipCEM)
2. Complete four years' experience (3000 hours). (5) |
| C) Fellow (3) |
1. Trainee / advanced trainee criteria as above.
2. Four years / 3000 hours of Urgent Care Clinic or Emergency Department experience.
3. PG Diploma in Community Emergency Medicine.
4. Exit interview.
5. Education Committee confirms accreditation complete. |
Begin reaccreditation. |
Notes:
1) Trainees are recommended to work with another doctor whose vocational standing is at least advanced trainee or equivalent in the field in which the experience is being obtained, or who is otherwise approved by CUCP, for example, an CUCP graduate or advanced trainee in respect of level two experience, a FACEM or senior registrar in respect of emergency department experience, or a vocationally registered general practitioner or registrar with Primex in the case of general practice experience. Time spent working alone without this level of direct supervision will not be recognised for accreditation purposes.
2) Advanced trainees may work alone, subject to MCNZ supervision criteria.
3) Fellows may work independently.
4) Board of Censors (BoC) approved primary
UCPEX and the ACEM part 1 are the only approved primary examinations. The Board of Censors will review the list of acceptable alternative primary examinations annually, or at its discretion.
5) Four years’ experience
3,000 hours experience is required, with a minimum of 400 hours in any one year.
A year can be any 12-month period nominated by the trainee.
General practice experience or subspecialty ED experience (such as paediatric Emergency Department or other CUCP-approved) to a maximum of 500 hours is acceptable.
Experience is to be supervised per CUCP Education Committee standards.
A log of hours submitted as part of the Urgent Care training programme is accepted as proof of hours.
Verifiable overseas experience to a maximum of 1,000 hours will be accepted.
Up to 1,000 hours of New Zealand Emergency Department experience worked while a member of the Emergency Medicine or Rural Hospital Medicine training programmes is accepted.
A minimum of 1,500 hours must be worked in an Urgent Care facility or Emergency Department while a member of the CUCP Urgent Care training programme.
Urgent Care definition
CUCP defines Urgent Care as primary care services that are episodic, with a no-appointments system, and covered by CUCP's training programme.
General practice experience
CUCP does not provide training and recertification in the ongoing management of long term medical problems. The MCNZ recognises the RNZCGP as the group responsible for this aspect of primary care.
Doctors who provide ongoing care, irrespective of the ‘level’ of the facility in which the service is provided, should be vocationally registered as general practitioners, or practising under the oversight of a vocationally registered general practitioner per the Medical Practitioners' Act (1995).